摘要
目的探讨普外科无菌手术手术切口感染相关影响因素,为预防和控制医院感染提供科学依据。方法选取2012年6月-2013年6月在医院行普外科手术患者116例,分析术后发生切口感染患者临床资料,并对其术后切口感染进行单因素及logistic多因素分析。结果调查116例患者发生术后切口感染58例,感染率为50.00%;经单因素分析可知年龄、体质量指数(BMI)、手术季节、病房条件、抗菌药物应用时间等与患者术后切口感染有关;经logistic多因素分析可知BMI高、手术时间长、多人病房、操作者资历低、切口类型是患者术后切口感染的独立危险因素(P<0.05)。结论普外科患者术后感染是由多因素共同作用引起的,术前调整患者体质量指数、缩短备皮至手术时间、改善病房条件、提高手术操作者业务水平,可有效降低普外科无菌手术术后感染风险。
OBJECTIVE To investigate the incision-relevant risk factors of aseptic operation in the general surgery department so as to provide scientific references for the prevention and control of hospital infections.METHODS Totally 116 case of patients who adopted surgery in the general surgery department in our hospital from Jan.2012 to Jan.2013 were selected and clinical data of patients with incision infections postoperatively were analyzed.Single factor and logistic multiple-factor analysis were conducted on incision infections.RESULTS A total of 58 cases suffered from incision infections among the 116 cases,and the infection rate was 50.00%.The age,body mass index（BMI）,surgical season,ward conditions,antibiotics using time were found to be relevant to incision infections according to single factor analysis.And high BMI,long surgery time,shared wards,low qualification of the operators and types of incision were the independent risk factors of incision factors postoperatively according to logistic multiple-factor analysis（P〈0.05）.CONCLUSIONPostoperative infection in the general surgery department is caused by multiple factors together.Adjustments of BMI preoperatively,shorten of skin preparation to reduce operative time,improvement of ward conditions and operators qualification level can effectively reduce infection rate after aseptic surgery in the general surgery department..
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第8期1830-1832,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生计划基金资助项目(2013KYA222)
关键词
普外科
手术切口
术后感染
General surgery department
Surgical incision
Postoperative infection
